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Use of gastrostomy and combined gastrojejunostomy tubes for enteral feeding.
World J Surg. 1999 Jun; 23(6):603-7.WJ

Abstract

Recent economic changes in health care delivery have led to more frequent feeding by tube enterostomy. Over the last two decades percutaneous endoscopic gastrostomy (PEG) has been established as the standard method for long-term enteral access for nutrition, though operative gastrostomy remains indicated in a few conditions. Additionally, the combined gastrojejunostomy tube is indicated in selected patients in need of concomitant access to the jejunum and gastric decompression. This report reviews data regarding the safety and efficacy of the PEG tube and the indications for operative gastrostomy. Complications of feeding tubes and strategies to avoid or remedy them are also discussed. More recent techniques, including laparoscopic gastrostomy and jejunal access via the stomach, are reviewed as are some ethical concerns regarding the appropriateness of feeding enterostomies in certain patients.

Authors+Show Affiliations

Department of Surgery, School of Medicine, University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

10227931

Citation

Faries, M B., and J L. Rombeau. "Use of Gastrostomy and Combined Gastrojejunostomy Tubes for Enteral Feeding." World Journal of Surgery, vol. 23, no. 6, 1999, pp. 603-7.
Faries MB, Rombeau JL. Use of gastrostomy and combined gastrojejunostomy tubes for enteral feeding. World J Surg. 1999;23(6):603-7.
Faries, M. B., & Rombeau, J. L. (1999). Use of gastrostomy and combined gastrojejunostomy tubes for enteral feeding. World Journal of Surgery, 23(6), 603-7.
Faries MB, Rombeau JL. Use of Gastrostomy and Combined Gastrojejunostomy Tubes for Enteral Feeding. World J Surg. 1999;23(6):603-7. PubMed PMID: 10227931.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of gastrostomy and combined gastrojejunostomy tubes for enteral feeding. AU - Faries,M B, AU - Rombeau,J L, PY - 1999/5/5/pubmed PY - 1999/5/5/medline PY - 1999/5/5/entrez SP - 603 EP - 7 JF - World journal of surgery JO - World J Surg VL - 23 IS - 6 N2 - Recent economic changes in health care delivery have led to more frequent feeding by tube enterostomy. Over the last two decades percutaneous endoscopic gastrostomy (PEG) has been established as the standard method for long-term enteral access for nutrition, though operative gastrostomy remains indicated in a few conditions. Additionally, the combined gastrojejunostomy tube is indicated in selected patients in need of concomitant access to the jejunum and gastric decompression. This report reviews data regarding the safety and efficacy of the PEG tube and the indications for operative gastrostomy. Complications of feeding tubes and strategies to avoid or remedy them are also discussed. More recent techniques, including laparoscopic gastrostomy and jejunal access via the stomach, are reviewed as are some ethical concerns regarding the appropriateness of feeding enterostomies in certain patients. SN - 0364-2313 UR - https://www.unboundmedicine.com/medline/citation/10227931/Use_of_gastrostomy_and_combined_gastrojejunostomy_tubes_for_enteral_feeding_ L2 - https://dx.doi.org/10.1007/pl00012354 DB - PRIME DP - Unbound Medicine ER -